PHYLLIS NOLAN, D.O.
Family Medicine
Active
Individual
NPI: 1700803616
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 2389 (OK) |
Frequently Asked Questions
NPI 1700803616 is the National Provider Identifier for PHYLLIS NOLAN, D.O., a Family Medicine provider located in Tahlequah, OK. This NPI was enumerated on July 16, 2006.
PHYLLIS NOLAN, D.O. practices at 100 S BLISS AVE, Tahlequah, OK 74464.
Quick Facts
- NPI
- 1700803616
- Type
- Individual
- Enumerated
- Jul 16, 2006
- Last Updated
- Jul 9, 2007
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